Saturday, September 06, 2008

THE AUDACITY OF DOCTORS


THE AUDACITY OF DOCTORS: Local Physicians Seek Hope In Political Involvement


East Setauket -- Members of the medical staff at John T. Mather Memorial and St. Charles Hospitals are invited Paul Newell, a Democratic candidate for NYS Assembly in lower Manhattan out to Long Island in August to an open meeting of their Medical Liability Reform Committee to discuss his platform on health care reform. Newell, a community organizer and Barak Obama delegate, is running in what Errol Louis, of the NY Daily News, last week called “the single most important political contest in New York this year.”

But why would a primary race involving a district where they cannot even vote concern physicians on the east end of Long Island? Newell, running against NYS Assembly speaker Sheldon Silver, promises results for his downtown constituents, and by opposing Silver, long the second most powerful figure in NYS government, greater transparency in Albany. In a letter addressed to all New York Doctors, Newell cited skyrocketing malpractice insurance costs as a factor in the “grave danger facing health care in New York State…pushing care out of the reach of working New Yorkers and forcing many doctors out of the profession.”

Christopher Beatty, a general surgeon and Newell supporter since meeting him at a similar meeting hosted by physicians at Southampton Hospital, understands this crisis well. “I had to close my solo-private practice of in Port Jefferson after 32 years. I was taking out loans just to keep up with escalating costs. I couldn’t afford to stay in business on my own, but I wasn’t ready to retire.” Beatty works for a larger group now, General Surgery Associates, LLC, of East Setauket, NY, and offered to host this meeting in his own back yard, inviting over 600 local physicians.

“Ten years ago, you couldn’t have asked our (medical staff) leadership to name any of our legislators, much less who was running against them. Our leaders today are motivated, energetic and taking the time to understand the issues,” said Harvey Kolker, pediatrician in Miller Place, at a Mather medical staff meeting in July.

Alenn Ott, an Obstetrician/Gynecologist in Southampton, spoke kindly of Newell at Peconic Bay Medical Center’s packed medical staff meeting and urged doctors there to get involved, “I met with him myself, and he is an intelligent and committed young idealist…This man has a chance, especially this year when so many people are disgusted by the spectacle of New York politics. We can’t vote for Paul Newell, but we can support him.”

Maria Basile, a surgeon in Port Jefferson and co-chairman of the Medical Liability Reform Committee, states “The real story here is that physicians, who once thought it was enough to study, work hard, and take good care of their patients are finding themselves more and more involved politically. Facing unsustainable increases in malpractice costs and continued cuts in Medicare and managed care reimbursements, doctors are forced to understand how the current system must be changed if they want stay in business.”

Referring to the Medical Society of the State of New York’s Legislative Day rally in Albany, she added, “Over 100 local doctors boarded buses at four o’clock in the morning on March fourth to join 2,000 of our colleagues and rally on the State House steps in Albany. Since then we have been petitioning our local legislators, visiting and calling their offices, discussing these issues with our patients. Our medical society leaders have been advocating tirelessly in Albany on our behalf. We’re learning here at home to get involved like the concerned citizens we all should be.”

“There was so much local excitement and motivation in the medical community following the rally in Albany. There was so much hope that our voices were heard and something could be done,” said Brian McGinley, an orthopedic surgeon from Port Jefferson and Basile’s co-chair on the committee. “And then…nothing. We understand that legislative reform doesn’t happen overnight. At this point we are just looking for small victories, something to show that we are making some progress, going in the right direction.”

Thursday, January 31, 2008

WHO IS YOUR DOCTOR?

And why is she crying? In an effort to raise awareness of the healthcare crisis facing New York and twenty other states, I have shed my anonymity and started a new blog that I will share with my patients. Please visit I AM YOUR DOCTOR at (www.iamyourdoctor.blogspot.com) to follow our efforts and with a few clicks join our fight against a broken malpractice insurance system.

Thursday, January 03, 2008

WHAT DREAMS MAY COME




Last night I had a great dream. I was attending a large poetry reading. Thousands of chairs. My husband (already you can tell this is a dream) and I choose a couple of seats in the middle, near enough to see some of the literati assembled. I pointed out to him a fabulous young poetry star friend up front who looked like a cross between Shelly Long and Meryl Streep. My youngest brother shows up, and since there’s no room in our row, my husband joins him in a pair of seats a row behind. They start some typical (for my hubby) anti-poetical banter, and who should show up to ask if the seat beside me is taken, but Derek Jeter, of the New York Yankees?! He chuckles, self-effacing and adorable at once, and mentions to me that he’s not sure why he’s here, they just told him to come. I laugh along and agree, that obviously I would have expected Bernie Williams instead, but reassure him that I am delighted they chose him, starting to realize that this is a dream, that “they” are “me.” My brother and husband are agog. Someone asks us to get up for a picture and the dream ends. The someone is my husband telling himself to get up to get the kids ready for school. I try to go back to sleep to resume the dream, but all I can conjure is navigating through a crowd (still at the poetry reading?) with my daughter, looking for a bathroom, and bumping into Thurman Munson with his three little ones.

The reason this was a great dream was that it differed from dreams I have had lately. Finally, a dream that was not about complications of a complicated case, losing my way, purse, family, and identity at the medical school where I teach, sending out the wrong Christmas cards, forgetting to see a consult, defaulting on bills, loans, mortgages. I woke up happy this morning, not anxious, depressed, or burdened. My morning prayers were filled with gratitude and blessing, rather than pleas and petitions. Maybe “they” aren’t “me,” but whoever “they” are, whoever sent me or wished me poetry friends, family, Derek Jeter, and a good night’s sleep, Happy New Year and thank you.

Thursday, September 27, 2007

MOVING


We all have reasons

for moving.

I move

to keep things whole.


—from "Keeping Things Whole" by Mark Strand


A lot has changed since my last post on this blog. I started my own practice, started doing laparoscopic colon surgery, am reading and writing more poetry, and teaching a course on Medical Humanities to 2nd year medical students. Bringing things all together, my poem, Minimally Invasive, was accepted for publication in JAMA, The Journal of the American Medical Association, and is scheduled for the January 16th issue.


Another piece of the puzzle is placed tomorrow morning. I literally have to start moving. I will meet my brother, Patrick, at the track at 6 am as promised and start to run again. I am sure I'll be rusty, but I'll have my great running buddy at my side for inspiration.


The first Sunday of November, Pat is running in the NYC Marathon. He's run it before, but this year's really special. He'll be running with Fred's Team, a team of runners who run to raise funds for cancer research at Memorial Sloan Kettering Cancer Center. He's already raised 20% of his goal. I'm duly honored to be running with him as he prepares, and to be named as one of the people to whom he has dedicated this race. Please visit his website, Run to Honor, at http://www.runtohonor.blogspot.com/, and make a donation today.

Friday, July 07, 2006

WHEN LIFE GIVES YOU ONIONS

Have you ever read that spoof-newspaper, The Onion? Sometimes it just cracks me up. Like in this article about big-league baseball contract negotiations. Have a great weekend, everybody.

Tuesday, July 04, 2006

IN CASE YOU WERE WONDERING

Just in case you were wondering where I got the name, The Wounded Surgeon, I must admit, I didn’t make it up. There is a series of poems, The Four Quartets, by TS Eliot, which contains this beautiful and apt image:

The wounded surgeon plies the steel
That questions the distempered part;
Beneath the bleeding hands we feel
The sharp compassion of the healer's
art



More recently, a book of literary criticism called The Wounded Surgeon was written by Adam Kirsch. In it, Kirsch explores the lives and writing of six modern American poets, Elizabeth Bishop, Robert Lowell, John Berryman, Randall Jarrell, Sylvia Plath, and Delmore Schwartz. The title just struck a cord with me, somewhere in between poetry and real life, between the aphorism, "Nothing new under the sun," and "Hey, I was just about to say that!"

When we're born, our parents give us a name. Seems it's taken me all this time to realize that the best ones are already taken.

Wednesday, June 21, 2006

JUST LIKE DAD

Last Sunday my eight-year-old daughter said something really smart. It was bright, funny, even a little political and competitive. My sister, surprised, told her, “You sound just like your Daddy.” We all laughed. It was something my husband would say, we could almost hear him saying it. My daughter answered, “Yeah, my Dad’s a good role model.”

I chimed in on this post-Italian Ice conversation. Our whole family was taking a stroll after dinner and I was a few steps behind them walking with my Dad, her Pop-Pop. “You know, my Dad was a pretty good role model, too.” I explained, as much to her as to myself. I thought how my entire life I have emulated my father. Quiet like him, humble, steady under pressure, a good student, faithful, kind, goofy sense of humor. Even professionally, I became a surgeon, just like him. “Yes,” my daughter answered. “I guess all fathers are good role models.”

I gave her my sad face, like I felt left out from her list of heroes. “No, Mommy, you’re my role model, too,” she explained. “You see, I want to be a doctor, just like you, but I want to talk just like Dad!”